《内经》“五脏浊气”初探  

Preliminary Study of “Foul Qi of Five Zang” in “Nei Jing”

作　　者：王玉兴[1] 崔宝林[2] 魏丽娟[1] 

机构地区：[1]天津中医药大学中医学院,天津300193 [2]天津中医药大学继续教育学院,2014级本科生天津300193

出　　处：《陕西中医学院学报》2014年第6期7-9,15,共4页Journal of Shaanxi College of Traditional Chinese Medicine

摘　　要："五脏浊气"一词出自《素问·五脏别论》,然而后世注家对此诠释无多,历版《内经选读》教材亦无阐述。经多方考查,本文作者认为,五脏浊气是指在多种致病因素作用下,五脏功能失常所产生的诸如水、湿、痰(脂)、饮、热(火)、毒、瘀等有害物质蕴积于五脏,进而引发各科疾病的病理产物,还包括五脏精气经代谢后形成的终末产物。五脏浊气的排泄途径,一是通利小便以袪除水湿痰饮类浊气,二是畅利大便以泻出糟粕热毒类浊气。同时,本文还结合中药药理研究,归纳总结出排泄五脏浊气的有效药物,可供临床参考。＂the five internal organs foul qi＂ is a word from the ＂Plain Questions-Five Internal Organs Theory＂, however later annotators didnot elucidate it much more, either calendar version of classics in the textbook. After many tests, the author thinks, the foul qi of five internal organs refers to the action of various pathogenic factors, the viscera function disorder arising from such as water, wet, phlegm （fat）, drink, heat （ fire）, toxin, stasis and other harmful substances accumulate in the five internal organs, causing the pathological products of various diseases, but also including the end products formed after the five internal organs by metabolism. Routes of excretion of five Zang shafts, one is free urine to dispel wet phlegm type foul qi, the other is to smooth stool spilled out dross heat toxin class of foul qi. At the same time, this paper also combined with traditional Chinese medicine and pharmacology research, and summarized the effective drag excretion of five Zang foul qi, it is available for clinical references.

关 键 词：五脏浊气 肺之浊气 黄帝内经 五脏别论 

分 类 号：R22[医药卫生—中医基础理论]